Lecture 15: Elbow And Forearm Flashcards
Joints
What is the elbow joint? Ie what type
Proximal radio ulnar joint?
Distal radio-ulnar joint -slide 11
Elbow joint: synovial hinge joint
Proximal radio ulnar joint= pivot joint ➡ the radius pivots about the ulna during pronation (held in place by annular ligament)
Distal radio ulnar joint: synovial pivot
Be able to label the osseous structures on slide 5,6,7,8,9
Yep
How does pronation occur?
- Rotation of the radius on the capitulum of humerus and enclosed by the annular ligament
- produced by the pronation quadratus and pronator teres
- innervated by median nerve
How does supination occur?
- produced by the supinator and biceps brachii
- innervation by musculocutaneous and radial nerves
Tell me all about the elbow joint:
How is it stabilised?
Stabilised by the radial collateral ligament and ulnar collateral ligament (slide 17)
Medial collateral ligament (ulnar): medial epicondyle of humerus to coronoid process and olecranon of ulna
Triangular ligament with anterior, posterior and oblique bands (slide 18)
Lateral (radial) collateral ligament: lateral epicondyle of humerus to radial notch of ulna and annular ligament; capitulum of humerus to head of radius.
-is weaker than ulnar collateral ligament but provides posterolateral stability. (Slide 19)
Label the diagram of the muscles in the cubical fossa slide 20 and 21
Y
Pronator teres, origin, insertion, action, innervation
Pronator teres
- Origin:
- Humeral head => medial epicondyle of humerus
- Ulnar head => coronoid process of ulna.
- Insertion: Lateral aspect of radius shaft
- Action: Pronation and flexion of forearm @ elbow
- Innervation: Median nerve (C6, C7)
Flexor Carpi radialis
Slide 27
Origin: Medial epicondyle of humerus
• Insertion: Base of 2nd
metacarpal
- Action: Flexes and abducts hand @ wrist
- Innervation: Median nerve (C6, C7)
Clemente (2011)
Palmaris longus
Origin: Medial epicondyle of humerus
- Insertion: Flexor retinaculum and palmar aponeurosis
- Action: Flexes hand @ wrist; tenses palmar aponeurosis
- Innervation: Median nerve (C7, C8)
Flexor Carpi ulnaris
Origin:
- Humeral head => medial epicondyle of humerus
- Ulnar head => medial aspect of olecranon process & posterior border of ulna
- Insertion: Pisiform bone, hook of hamate, base at 5th metacarpal bone.
- Action: Flexes and adducts hand at wrist joint
- Innervation: Ulnar nerve (C8, T1)
Label the superficial and intermediate layer of the flexor muscles of forearm. Slide 30
Yeeep
Flexor digitorum superficialis
Origin:
- Humeroulnar head => medial epicondyle of humerus; coronoid process of ulna.
- Radial head => oblique line on anterior surface of radius shaft.
- Insertion: Middle phalanx of medial four fingers
- Action: Flexes middle phalanx of fingers @ PIP joints.
- Innervation: Median nerve (C7, C8, T1)
Flexor digitorum profundus
Origin: Anteromedial surface of shaft of ulna
- Insertion: Distal phalanges of medial four fingers
- Action: Flexes distal phalanx of fingers @ DIP joints; then assists in flexion of middle & proximal phalanges and wrist.
- Innervation: Ulnar (medial half) & median nerves (lateral half) (C8, T1)
Flexor pollicis longus
Origin: Anterior surface of radius and adjacent interosseous membrane
- Insertion: Base of distal phalanx of thumb
- Action: Flexes phalanges of thumb
- Innervation: Anterior interosseous nerve (from median, C8, T1)
Pronator quadratus
Origin: distal quarter of anterior surface of ulna
- Insertion: distal quarter of anterior surface or radius
- Action: pronates forearm; deep fibres bind radius and ulna together
- Innervation: Anterior interosseous nerve (from median: C8, T1)